Provider Demographics
NPI:1336206663
Name:SECHRIST, MARTIN THOMAS (DO)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:THOMAS
Last Name:SECHRIST
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:10800 PARAMOUNT BLVD
Mailing Address - Street 2:SUITE 402
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3331
Mailing Address - Country:US
Mailing Address - Phone:562-923-8333
Mailing Address - Fax:562-923-2433
Practice Address - Street 1:10800 PARAMOUNT BLVD
Practice Address - Street 2:SUITE 402
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3331
Practice Address - Country:US
Practice Address - Phone:562-923-8333
Practice Address - Fax:562-923-2433
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5252207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93617Medicare UPIN